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Non Operative Approach to Isolated Traumatic Pancreatic Duct Disruption

Sheshang U Kamath1, Satish B Dharap2

  • 1Post Graduate Student, Lokmanya Tilak Municipal Medical College and General Hospital , Mumbai, Maharashtra India .

Journal of Clinical and Diagnostic Research : JCDR
|May 3, 2016
PubMed

Insights

Conservative management of traumatic pancreatic duct injury in children can lead to pseudocyst formation. While some resolve spontaneously, others may require minimally invasive endoscopic treatment.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Trauma Management

Background:

  • Isolated traumatic pancreatic duct disruption presents significant management challenges.
  • High morbidity and mortality rates are associated with pancreatic duct injuries.

Observation:

  • Two pediatric cases of isolated pancreatic ductal disruption were managed non-operatively.
  • Both patients developed pancreatic pseudocysts following the injury.

Findings:

  • One pseudocyst resolved spontaneously due to distal pancreas atrophy in a 5-year-old girl.
  • A persistent pseudocyst in an 8-year-old boy was successfully treated with endoscopic cystogastrostomy.

Implications:

  • Non-operative management of pancreatic duct injury may be considered, anticipating pseudocyst development.
  • Spontaneous resolution or minimally invasive endoscopic treatment are potential outcomes for these pseudocysts.
  • The literature suggests non-operative management is not standard due to potential complications.

Keywords:
Blunt injuryChildrenConservativePancreasTreatment

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